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psnet.ahrq.gov/node/42313/psn-pdf
August 24, 2013 - The leader's role in medical device safety.
August 24, 2013
Federico F. The leader's role in medical device safety. Healthcare executives must ensure appropriate
policies, procedures. Healthcare executive. 2013;28(3):82-5.
https://psnet.ahrq.gov/issue/leaders-role-medical-device-safety
This article discusses how e…
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psnet.ahrq.gov/node/37844/psn-pdf
June 18, 2008 - Effect of ACGME duty hours on attending physician
teaching and satisfaction.
June 18, 2008
Arora V, Meltzer DO. Effect of ACGME duty hours on attending physician teaching and satisfaction. Arch
Intern Med. 2008;168(11):1226-8. doi:10.1001/archinte.168.11.1226.
https://psnet.ahrq.gov/issue/effect-acgme-duty-hours-a…
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psnet.ahrq.gov/node/45414/psn-pdf
August 17, 2016 - The next wave of hospital innovation to make patients
safer.
August 17, 2016
Ghaferi AA; Myers C; Sutcliffe KM; Pronovost PJ.
https://psnet.ahrq.gov/issue/next-wave-hospital-innovation-make-patients-safer
Achieving high reliability is a recognized goal for health care organizations. Reviewing current technical and…
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psnet.ahrq.gov/node/34601/psn-pdf
January 26, 2009 - Strategies and tips for maximizing failure mode and effect
analysis in your organization.
January 26, 2009
Chicago, IL: American Society of Healthcare Risk Management; 2002.
https://psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-
organization
The implementation and appli…
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psnet.ahrq.gov/node/40500/psn-pdf
June 01, 2011 - Meaningful use and certification of health information
technology: what about safety?
June 1, 2011
Hoffman S, Podgurski A. Meaningful use and certification of health information technology: what about
safety? J Law Med Ethics. 2011;39(suppl 1):77-80. doi:10.1111/j.1748-720X.2011.00572.x.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/43233/psn-pdf
June 17, 2014 - Quality and safety education for nurses: a nursing
leadership skills exercise.
June 17, 2014
Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ.
2014;53(6):356-361. doi:10.3928/01484834-20140512-01.
https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…
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psnet.ahrq.gov/node/34973/psn-pdf
September 29, 2017 - Disclosure of medical errors: ethical considerations for
the development of a facility policy and organizational
culture change.
September 29, 2017
Henry LL. Disclosure of medical errors: ethical considerations for the development of a facility policy and
organizational culture change. Policy Polit Nurs Pract. 200…
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psnet.ahrq.gov/node/37413/psn-pdf
November 14, 2011 - Patient Safety Tools: Improving Safety at the Point of
Care.
November 14, 2011
https://psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
Produced in conjunction with its Partnerships in Implementing Patient Safety (PIPS) grant program,
AHRQ has released 17 freely available toolkits to help ho…
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psnet.ahrq.gov/node/34898/psn-pdf
April 21, 2011 - Crossing to safety: transforming healthcare organizations
for patient safety.
April 21, 2011
Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J
Postgrad Med. 2005;51(1):61-67.
https://psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-pati…
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psnet.ahrq.gov/node/40906/psn-pdf
November 16, 2011 - What is the value and impact of quality and safety teams?
A scoping review.
November 16, 2011
White DE, Straus SE, Stelfox T, et al. What is the value and impact of quality and safety teams? A scoping
review. Implement Sci. 2011;6:97. doi:10.1186/1748-5908-6-97.
https://psnet.ahrq.gov/issue/what-value-and-impact-q…
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psnet.ahrq.gov/node/43891/psn-pdf
September 29, 2017 - AHRQ announces interest in research on health IT safety.
September 29, 2017
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. March 9, 2016.
Publication No. NOT-HS-16-009.
https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-health-it-safety
This announcement highlights A…
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psnet.ahrq.gov/node/35125/psn-pdf
June 29, 2005 - 2005 Annual Patient Safety and Health Information
Technology Conference: Making the Health Care System
Safer through Implementation and Innovation.
June 29, 2005
Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/2005-annual-patient-safety-and-health-information-technology-conference-
making-…
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psnet.ahrq.gov/node/50715/psn-pdf
December 04, 2019 - Quality and Safety of Healthcare in Switzerland.
December 4, 2019
Vincent C, Staines A. Bern, Switzerland: Federal Department of Home Affairs, Federal Office of Public
Health; 2019.
https://psnet.ahrq.gov/issue/quality-and-safety-healthcare-switzerland
Patient safety is a goal for countries worldwide. This report …
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psnet.ahrq.gov/node/35211/psn-pdf
June 13, 2011 - JCAHO views medication reconciliation as adverse-event
prevention.
June 13, 2011
Thompson CA. JCAHO views medication reconciliation as adverse-event prevention. American journal of
health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.
2005;62(15):1528, 1530, 1532.
…
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psnet.ahrq.gov/node/38967/psn-pdf
June 09, 2011 - Eight rights of safe electronic health record use.
June 9, 2011
Sittig DF, Singh H. Eight rights of safe electronic health record use. JAMA. 2009;302(10):1111-3.
doi:10.1001/jama.2009.1311.
https://psnet.ahrq.gov/issue/eight-rights-safe-electronic-health-record-use
Incorporating human factors engineering models, t…
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psnet.ahrq.gov/node/35291/psn-pdf
April 21, 2010 - Use of complex adaptive systems metaphor to achieve
professional and organizational change.
April 21, 2010
Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational
change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.03510.x.
https://psnet.ahrq.gov/issue/use-co…
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psnet.ahrq.gov/node/41255/psn-pdf
May 04, 2012 - EACTS guidelines for the use of patient safety checklists.
May 4, 2012
Clark SC, Dunning J, Alfieri OR, et al. EACTS guidelines for the use of patient safety checklists. Eur J
Cardiothorac Surg. 2012;41(5):993-1004. doi:10.1093/ejcts/ezs009.
https://psnet.ahrq.gov/issue/eacts-guidelines-use-patient-safety-checklist…
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psnet.ahrq.gov/node/35452/psn-pdf
January 05, 2017 - Deploying Six Sigma in a health care system as a work in
progress.
January 5, 2017
Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in
progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13.
https://psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-wor…
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psnet.ahrq.gov/node/38554/psn-pdf
November 21, 2016 - Family-centered multidisciplinary rounds enhance the
team approach in pediatrics.
November 21, 2016
Rosen P, Stenger E, Bochkoris M, et al. Family-centered multidisciplinary rounds enhance the team
approach in pediatrics. Pediatrics. 2009;123(4):e603-8. doi:10.1542/peds.2008-2238.
https://psnet.ahrq.gov/issue/fami…
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psnet.ahrq.gov/node/35395/psn-pdf
September 10, 2009 - Toward a theoretical approach to medical error reporting
system research and design.
September 10, 2009
Karsh B-T, Escoto KH, Beasley JW, et al. Toward a theoretical approach to medical error reporting system
research and design. Appl Ergon. 2006;37(3):283-95.
https://psnet.ahrq.gov/issue/toward-theoretical-approa…